PA Lookup

Enter a CPT code, procedure name, insurance payer, and/or state

CPT 15272

Application of skin substitute graft to trunk, arms, legs or face/scalp/specialized areas in varying wound surface areas

Unverified

Molina · ALL

Yes — Prior Auth Required

Documents Needed

  • Clinical notes

Clinical Criteria

Molina Healthcare prior authorization required (Medicaid)

Is this correct?